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Mr. Mark M Kelley

Nurse Practitioner

6514 Meadowridge Rd
Elkridge , Maryland 21075-6115

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Mr. Mark M Kelley

Nurse Practitioner

6514 Meadowridge Rd
Elkridge , Maryland 21075-6115

(501) 821-5815

Write a Review Save Call

Mr. Mark M Kelley

Nurse Practitioner

6514 Meadowridge Rd
Elkridge , Maryland 21075-6115

(501) 821-5815 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner

Languages spoken

  • English

Location

6514 Meadowridge Rd Elkridge , Maryland 21075-6115

First Address

  • Mr. Mark M Kelley
  • 20330 John Rd
  • Little Rock, AR
  • Zip : 72210-5509
  • Phone : (501) 821-5815

Second Address

  • Mr. Mark M Kelley
  • 6514 Meadowridge Rd
  • Elkridge, MD
  • Zip : 21075-6115
  • Phone : (855) 247-8474

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FAQs


Where did Mr. Mark M Kelley attend graduate school?

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Where did Mr. Mark M Kelley do his residency?

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Where did Mr. Mark M Kelley do his fellowship?

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Is Mr. Mark M Kelley board certified?

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What type of doctor is Mr. Mark M Kelley

Nurse Practitioner

In what state does Mr. Mark M Kelley practice in?

Maryland

Where is Mr. Mark M Kelley ’s practice located?

6514 Meadowridge Rd , Elkridge, Maryland, 21075-6115

What is Mr. Mark M Kelley ’s gender?

Male

Is Mr. Mark M Kelley a sole practitioner?

No

Is Mr. Mark M Kelley accepting new patients?

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What languages does Mr. Mark M Kelley speak?

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Does Mr. Mark M Kelley accept insurance?

Yes, Mr. Mark M Kelley accepts insurance

Does Mr. Mark M Kelley offers telemedicine?

Mr. Mark M Kelley has not indicated if he offers telemedicine

What is Mr. Mark M Kelley ’s professional license number?

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What is Mr. Mark M Kelley ’s NPI number?

1003153750

Does Mr. Mark M Kelley have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363L00000X Nurse Practitioner P000562 AR

National Provider Identifier

NPI 1003153750
Provider Name Mr. Mark M Kelley
First Address Little Rock, AR 72210-5509
Second Address Elkridge, MD 21075-6115
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/01/2013
Last Update Date 14/01/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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